Table 2.
Characteristics | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | Patient 8 | Patient 9 | Patient 10 | Patient 11 | Patient 12 |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Age (years)/sex | 32/male | 40/female | 28/male | 21/male | 38/male | 39/female | 24/male | 43/male | 56/male | 47/male | 39/male | 54/male |
Nationality | Nepalese | Filipino | Sri Lankan | Nepalese | Bangladeshi | Indonesian | Nepalese | Nepalese | Iraqi | Jordanian | Nepalese | Cyprus |
Infection onset after procedures (days) | 10 | 16 | 13 | 18 | 22 | 15 | 10 | 11 | 7 | 13 | 14 | |
Underlying neurosurgical condition | ||||||||||||
Head injury | No | Yes | No | Yes | No | No | No | No | No | No | No | No |
Intracerebral hg | No | No | No | No | Yes | Yes | No | Yes | No | Yes | Yes | Yes |
Brain tumor | Yes | No | No | No | No | No | No | No | No | No | No | No |
Hydrocephalus | Yes | No | Yes | No | No | No | Yes | No | Yes | No | No | No |
Associated bacteremia |
No | No | Yes | No | No | No | No | No | No | No | Yes | No |
Infection setting | Nosocomial | Nosocomial | Nosocomial | Nosocomial | Nosocomial | Nosocomial | Nosocomial | Nosocomial | Nosocomial | Nosocomial | Nosocomial | Nosocomial |
Neurosurgical device | VP shunt | EVD | VP shunt | EVD | EVD | EVD | VP shunt | EVD | VP shunt | EVD | EVD | EVD |
Comorbidities | ||||||||||||
Hypertension | No | Yes | No | No | Yes | Yes | No | Yes | No | Yes | Yes | Yes |
AVM | No | No | No | No | No | No | No | No | No | No | No | No |
Staphylococcus species | S. epidermidis | S. epidermidis | S. haemolyticus | S. epidermidis | S. epidermidis | S. capitis | S. epidermidis | S. epidermidis | S. epidermidis | S. epidermidis | S. haemolyticus | S. capitis |
Antimicrobials susceptibility | ||||||||||||
Amoxil/calv | R | R | R | S | R | R | S | ND | R | R | R | R |
Vancomycin | S | S | S | S | S | S | S | S | S | S | S | S |
Tazocin | R | R | R | S | R | R | S | ND | R | R | R | R |
Linezolid | ND | ND | S | S | ND | ND | S | ND | S | S | S | ND |
Teicoplanin | ND | S | S | S | ND | S | S | S | S | S | S | ND |
Oxacillin | R | R | R | S | R | R | S | S | R | R | R | R |
Ceftriaxone | R | R | R | S | R | R | ND | S | R | R | R | R |
Empirical therapy | Ceftriaxone + vancomycin | Ceftriaxone + vancomycin | Ceftriaxone + vancomycin | Ceftriaxone + vancomycin | Ceftriaxone + vancomycin | Ceftriaxone + vancomycin | Ceftriaxone + vancomycin | Ceftriaxone + vancomycin | Meropenem + vancomycin | Ceftriaxone + vancomycin | Ceftriaxone + vancomycin | Ceftriaxone + vancomycin |
Duration of therapy (days) | 3 | 6 | 5 | 5 | 4 | 5 | 4 | 3 | 4 | 3 | 3 | 6 |
Definitive therapy | Vancomycin | Vancomycin | Linezolid | Cloxacillin | Vancomycin | Vancomycin | Cloxacillin | Cloxacillin | Vancomycin | Linezolid | Vancomycin | Vancomycin |
Duration of therapy (days) | 14 | 15 | 10 | 12 | 10 | 12 | 20 | 13 | 10 | 14 | 14 | 14 |
EVD removal | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Outcome | Cured | Cured | Cured | Cured | Cured | Cured | Cured | Cured | Cured | Cured | Cured | Cured |
R – Resistant; S – Sensitive; ND – Not done; EVD – External ventricular drain; VP – ventriculoperitoneal; S. capitis – Staphylococcus capitis; S. epidermidis – Staphylococcus epidermidis; S. haemolyticus – Staphylococcus haemolyticus; AVM – Arteriovenous malformation